I had a tummy tuck 2 years ago. Now my private area is so fat and puffy. Before the surgery my stuff was not like this (Photo)

The mons area often needs liposuction or fat excision to flatten it when having a tummy tuck. It is possible that yours developed more fat after your tummy tuck, but liposuction and/or skin removal through a small revision of the tummy tuck scar can easily improve your problem area.

This can definitely can addressed with liposuction.   This area was probably just as fatty before surgery as it is now, but everything above it was trimmed/slimmed during surgery making this area more apparent now.  Often times during a tummy tuck we will liposuction this area if it appears more full compared to the tummy area above.  Rest assured that it is a relatively easy thing to improve.

Thank you for sharing your question and photographs.  Depending on the cause of the sagging you have various options to improve upon your current appearance.  If the tissues have sagged you can have a monsplasty procedure to help elevate your pelvic tissues and directly thin them if needed.  If the tissue is adipose alone you may be a liposuction candidate.  See an ASPS board certified plastic surgeon in consultation to discuss. 

A mons pubis reduction might be in order. You may require liposuction as well as direct excision of tissue.   Best to be seen in person.

You ask a question about a very common issue seen after a tummy tuck.  Many women who need a tummy tuck have extra fat and skin in the pubic area, which gives it a "puffy" appearance.  This issue can be even more noticeable in patients that are overweight or who have lost a significant amount of weight.  It is something that should be diagnosed and addressed with the patient prior to the tummy tuck.  Unfortunately, it is missed in many patients.When I evaluate a patient for a tummy tuck, I always look at this area.  If it does indeed have that "puffy" appearance, I will tell the patient that she will need either liposuction of the pubic area (which I do pretty much on all tummy tucks) or liposuction combined with a monsplasty.  This is when the excess skin of the pubic area is cut out and then lifted upwards using deep buried stitches.  Doing a combination of these things will eliminate the problem.From the looks of your pictures you can certainly be helped.  It appears that this area was not treated during your original tummy tuck 2 years ago.  You will likely need both liposuction and a monsplasty.  Be sure to choose a board certified Plastic Surgeon for your surgical care.

The private area we call the mons can be a problem after weight gain and loss and might not have been addressed during your tummy tuck. The mons skin can actually droop as well, and correction might involve liposuction, however skin reduction might be needed as well tailored into the current tummy tuck incision line.

You can expect improvement but not total erradication of this issue from Monspexy and liposuction. It will need surgery.

Before your tummy tuck surgery you probably could not see your private area (mons pubis) because it was covered by the hanging, loose skin of your abdomen. Therefore, you could not focus on its appearance. Additionally, you were likely more concerned with the excess hanging skin of your abdomen versus the appearance of your private area. Now that the curtain had been lifted by way of the tummy tuck, you are now seeing your "fat and puffy" private area that you've always had. The tummy tuck didn't create this fat. Weight gain could also be a culprit. Additionally, with the effect of a tummy tuck, your private area is now on stretch so you can really appreciate the fat layer that is there. Liposuction and/or weight loss are possible solutions  to decrease the fat in this area. 

Thank you for your question. It look like large Mons. It can be fixed with liposuction and excision of excess skin. Please consult with a board certified PS for evaluation.